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Results of Heller's operation for achalasia of the oesophagus. The importance of hiatal repair

โœ Scribed by J. Black; A. N. Vorbach; J. Leigh Collis

Publisher
John Wiley and Sons
Year
1976
Tongue
English
Weight
460 KB
Volume
63
Category
Article
ISSN
0007-1323

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โœฆ Synopsis

Abstract

A survey of 108 patients with achalasia treated by cardiomyotomy is reported. All the operations were done by the abdominal approach and all the patients were followed up for a minimum of 4 years. Fifty-five patients had some form of hiatal reconstruction, I1 of these having a formal plastic repair as practised for oesophageal reflux problems.

At 4 years after operation 71 patients (65ยท5 per cent) had entirely satisfactory results. Twenty-seven patients had recurrent dysphagia and 20 patients had symptoms of reflux oesophagitis. The group who had had a formal repair of the hiatus had no reflux symptoms after operation and also had better swallowing than the other groups.

These results suggest that much of the dysphagia following Heller's operation is due to occult gastro-oesophageal reflux and can be avoided by a reflux-preventing procedure.

Adequate hiatal repair after myotomy is strongly recommended.

๐Ÿ“œ SIMILAR VOLUMES

Heller's operation for achalasia of the
Heller's operation for achalasia of the cardia. A study of the early and late results
โœ John R. Barker; R. H. Franklin ๐Ÿ“‚ Article ๐Ÿ“… 1971 ๐Ÿ› John Wiley and Sons ๐ŸŒ English โš– 323 KB ๐Ÿ‘ 2 views

## Abstract Thirty patients who had undergone Heller's operation for achalasia of the cardia have been studied. All but I had relief of the dysphagia at 1 year's follow-up. Five of the 14 patients followed for 10 years or more had severe reflux oesophagitis, 3 requiring further operative treatment.